MARYLAND GOLF. and Country Clubs Application for Membership East MacPhail Rd Bel Air Maryland

Size: px
Start display at page:

Download "MARYLAND GOLF. and Country Clubs Application for Membership East MacPhail Rd Bel Air Maryland"

Transcription

1 MARYLAND GOLF and Country Clubs Application for Membership 1335 East MacPhail Rd Bel Air Maryland

2 Category Pricing Current Initiation Fee Monthly Dues Food Minimum Capital Improvement Fee Full Family (Unlimited) $3500 $542 $75 $42 (Stock) Monday - Sunday including pool & tennis one time fee of $310 if Stockholder Ownership applies Full Single (Unlimited) $3000 $502 $75 $35 (Stock) Monday - Sunday including pool & tennis one time fee of $310 if Stockholder Ownership applies Junior (Unlimited) $1200 Rates Vary $25/$37.50 $20 (Non Stockholder) (see Junior dues schedule) Social (Clubhouse Only) $500 $110 $75 $13 Includes golf twice a month (paying greens fees) Social Plus Pool* $750 $110 $75 $14 Includes golf twice a month (paying greens fees) *$657 annual fee applies Social Plus Tennis* $750 $110 $75 $16 Includes golf twice a month (paying greens fees) *$657 annual fee applies Social Plus Tennis/Pool* $750 $110 $75 $19 Includes golf twice a month (paying greens fees) *$1314 annual fee applies Corporate $5000 Rates Vary Rates Vary Rates Vary Includes up to 4 designees of company One member must be a stockholder member Other rules apply Initiation fees 50% down at enrollment / 50% in six months ABSOLUTELY NO MEMBERSHIP FEES OR DUES ARE REFUNDABLE Effective April 1, 2019 replaces all previous applications. All information is subject to change without notice. 2

3 Type of Membership Desired Check One: Full Family Unlimited Full Single Unlimited Personal Information Junior Unlimited Social Social Plus Pool Social Plus Tennis Social Plus Pool/Tennis Primary Applicant: Place of Residence: Street Name City State Zip Home Phone: of Birth: Cell Phone: Address: Business Affiliation: Position/Title: Marital Status: Please list any other club memberships you now hold or have held: Please list names of any friends who are presently members at Maryland Golf and Country Clubs: Please list recreational interests: (ie. golf, tennis, pool, card games, children s activities, etc) Driver s license information of primary member: Vehicle Information Make/Model/Tag Number: Any Allergies/Special Dietary Needs: For Office Use Only 3

4 Secondary Member s Name: of Birth: Home Phone: Address: Cell Phone: Occupation/Profession: Company Name: Please list recreational interests: (ie. golf, tennis, pool, card games, children s activities, etc) Vehicle Information Make/Model/Tag Number: Any Allergies/Special Dietary Needs: Please provide the following information for all dependent children under the age of 23: Name: Birthdate: Recreational Activities: Effective of Membership Initiation Fee Primary Member Signature Secondary Member Signature This application was reviewed by the MGCC Board of Governors on and approved by Club Secretary. Secretary Signature 4

5 Minimum Spending Program The Board of Governors may institute a minimum-spending program, as they deem necessary: 1. Only a la carte food charges are applied. 2. The minimum is non-transferable. 3. Members will be divided into two (2) groups according to the initial of their last name. A. Calculating minimum for A-M will be first to the last day of the month. B. Calculating minimum for N-Z will be 16th to the 15th of the following month. 4. Membership is minimum of 24-month. 5. Minimum spending requirements vary according to membership category. ***Exceptions NNR (non-resident) no minimum ***Special problems will be individually considered upon receipt of written explanation in advance. Authorization and Release If membership is terminated for any reason whatsoever, the balance of all dues and other charges, such as amounts due under a minimum spending program, (collectively the Unpaid Balance ) shall be immediately due and payable. I hereby authorize and release the club to use my credit card to pay any Unpaid Balance owed at the time of termination of membership or any Unpaid Balance over 60 days old without notice to me. All members must provide the following information to the Club: 1) name of major credit card (ie. American Express, Visa, MasterCard, etc.); 2) name of cardholder as it appears on the credit card; 3) expiration date of credit card; and 4) billing zip code, all in a format reasonably acceptable to the Club. Said credit card information must be updated at least annually or at such other interval as the Club reasonably requires. Failure to provide the updated credit card information to the Club when required shall be grounds for termination of membership. Credit Card Number/Type Name as it appears on card Expiration Billing Zip Code Security Code Primary Member Signature Secondary Member Signature Acknowledges receipt of dress code, rules and regula ons We request that each member submit a digital photo of themselves/their family to have on file. The reason for this is to improve service so all staff at the club knows who you are and can put a face to a name, eliminate charges that should not occur, and eliminate double charges. Please all photos to Jeff Gluch, Membership and Marketing Director, at jgluch@marylandgcc.org 5

6 Authorization to Obtain Consumer Credit and Character Reports The undersigned authorizes the Board of Governors and/or Membership Committee of Maryland Golf & Country Clubs to solicit such consumer credit and character information and reports as are required to determine and satisfy the acceptability of my application for membership in the Maryland Golf & Country Clubs Mr. Social Security # Mrs. Social Security # (include maiden name) Address: City & State: Telephone Number: Signature: Signature: : 6

7 Fee Schedule Golf Fees Weekday guest greens fees $85 Weekend guest greens fees $95 *guests may play once per month Range plan (for non-golf members) $250/year Pool Fees Guest fee $10 *guests may swim three times per month Tennis Fees Guest fee $10 *guests may play three times per month Additional Fees Lockers Club Storage MSGA Handicap Shoe Shine Service Cart Cart Frequent User Plan (billed in 2 installments) $95/year $95/year $27/year $30/month $18+ tax/round $630+tax/yr-Individual $845+tax/yr-family 7

8 8

Membership Offerings TRANSITIONAL MEMBERSHIP FULL GOLF MEMBERSHIP SOCIAL MEMBERSHIP (LIMITED AVAILABILITY) SPORTS MEMBERSHIP CLUBHOUSE MEMBERSHIP

Membership Offerings TRANSITIONAL MEMBERSHIP FULL GOLF MEMBERSHIP SOCIAL MEMBERSHIP (LIMITED AVAILABILITY) SPORTS MEMBERSHIP CLUBHOUSE MEMBERSHIP 2 1 7 9 B a h a m a R o a d, Membership Offerings FULL GOLF MEMBERSHIP INITIATION FEE $4,000 (non-refundable) MONTHLY DUES $445 family/$330 single DINING MINIMUM $60/month family or $40/month single PRIVILEGES

More information

2019 EBENSBURG COUNTRY CLUB MEMBERSHIP AGREEMENT

2019 EBENSBURG COUNTRY CLUB MEMBERSHIP AGREEMENT 2019 EBENSBURG COUNTRY CLUB MEMBERSHIP AGREEMENT This Packet includes the following: 1. Membership Agreement - Must be completed 2. New member contact Information - Must be completed to get discount 3.

More information

2018 MEMBERSHIP OPTIONS

2018 MEMBERSHIP OPTIONS 2018 MEMBERSHIP OPTIONS Unlimited Allows the designated Member (or couple) unlimited golf play seven days per week. Tee times may be made up to 14 days in advance. Weekday Plus Allows the designated Member

More information

Visionary Preview Program

Visionary Preview Program Visionary Preview Program The Basics Extend an invitation Thank You Rewards Current members are encouraged to be ambassadors of Hillcrest and promote our club. The incentive is for these members to receive

More information

SAVANNAH COUNTRY CLUB MEMBERSHIP AGREEMENT

SAVANNAH COUNTRY CLUB MEMBERSHIP AGREEMENT SAVANNAH COUNTRY CLUB MEMBERSHIP AGREEMENT 501 WILMINGTON ISLAND ROAD SAVANNAH, GEORGIA 31410 912-897-1612 Savannah Country Club Levels Golf (30yrs- 71yrs) Monthly dues are $325.00. Full Golf includes

More information

COHASSET GOLF CLUB APPLICATION FOR MEMBERSHIP

COHASSET GOLF CLUB APPLICATION FOR MEMBERSHIP COHASSET GOLF CLUB APPLICATION FOR MEMBERSHIP Established in 1894, Cohasset Golf Club is one of the oldest private clubs in New England. Members enjoy a challenging 18-hole Donald Ross course, practice

More information

2018 Renewing Resident Application. Rye Golf Club 330 Boston Post Road ~ Rye, NY ~ ~

2018 Renewing Resident Application. Rye Golf Club 330 Boston Post Road ~ Rye, NY ~ ~ 2018 Renewing Resident Application Rye Golf Club 330 Boston Post Road ~ Rye, NY 10580 ~ 914-835-3200 ~ www.ryegolfclub.com RYE GOLF CLUB APPLICATION PROCESS FOR NEW AND RENEWING RESIDENT MEMBERS RESIDENCY

More information

Membership Application

Membership Application Membership Application 25 Club Road Newton, NJ 07860 (973) 383-4817 www.newtoncountryclub.org Type of Membership Desired Check One: Membership Category Pre-Paid Golf Member Dues Total Dues -25% Discount

More information

2019 Renewing Non - Resident Application

2019 Renewing Non - Resident Application 2019 Renewing Non - Resident Application Rye Golf Club 330 Boston Post Road ~ Rye, NY 10580 ~ 914-835-3200 ~ www.ryegolfclub.com RYE GOLF CLUB APPLICATION PROCESS FOR RENEWING NON RESIDENT MEMBERS RESIDENCY

More information

Country Club of Culpeper

Country Club of Culpeper Welcome to Country Club of Culpeper 2100 Country Club Road Culpeper, VA 22701 540.825.1746 Jen Sandy, Membership & Events Director Jsandy@countryclubofculpeper.com Country Club of Culpeper CLUB HOUSE Grill

More information

2019 MEMBER APPLICATION PACKAGE

2019 MEMBER APPLICATION PACKAGE 2019 MEMBER APPLICATION PACKAGE SPECIAL OFFERS * MEMBER APPRECIATION DISCOUNT * Prior Year Members in Good Standing will Receive 5% Off All Selected Tailored Programs Discount Expires on February 28, 2019

More information

MEMBERSHIP APPLICATION FORM

MEMBERSHIP APPLICATION FORM Name of Applicant: Name of Proposer: Name of Sponsor: MEMBERSHIP APPLICATION FORM Date: I/we hereby apply for the membership classification in the Race Brook Country Club, Inc., and agree that if my/our

More information

Membership Application

Membership Application Membership Application 2287 Club House Rd Glen Rock, Pennsylvania 17327 717-235-2091 www.bonaircc.com Type of Membership Desired Check One: Full Golf Memberships o Full Family o Young Family o College

More information

THE CLUB AT BELLA COLLINA MEMBERSHIP AGREEMENT INVITATIONAL MEMBERSHIP. Member Initial

THE CLUB AT BELLA COLLINA MEMBERSHIP AGREEMENT INVITATIONAL MEMBERSHIP. Member Initial THE CLUB AT BELLA COLLINA MEMBERSHIP AGREEMENT INVITATIONAL MEMBERSHIP I. INFORMATION Please provide the following information for our files and records: PERSONAL Member s Name: Email Address: Birthdate:

More information

APPLICATION FOR MEMBERSHIP

APPLICATION FOR MEMBERSHIP APPLICATION FOR MEMBERSHIP Membership Desired Regular Golf Junior Golf Non-Resident Tennis THE LAKEWOOD CLUB TERMS AND CONDITIONS FOR MEMBERSHIP APPLICATION By signing The Lakewood Club Membership Application

More information

Name: DOB: Relationship: Name: DOB: Relationship: Name: DOB: Relationship: Name: DOB: Relationship: Name: DOB: Relationship:

Name: DOB: Relationship: Name: DOB: Relationship: Name: DOB: Relationship: Name: DOB: Relationship: Name: DOB: Relationship: Member Information Applicants Name: Co-Applicants Name: Membership Application Please read and complete thoroughly all fields and pages of the application. Incomplete applications will be returned to the

More information

BRETTON WOODS CLUB Membership Application

BRETTON WOODS CLUB Membership Application BRETTON WOODS CLUB Membership Application Primary Member s Name Spouse s Name Birth Date Birth Date Home Address Local Address Email Address Please check box if you do NOT wish to receive eclub news and

More information

APPLICATION FOR MEMBERSHIP PRIVILEGES

APPLICATION FOR MEMBERSHIP PRIVILEGES The undersigned hereby applies for a membership at Spring Creek Golf Club. If approved, the undersigned requests that his/her name be placed on the Membership Roster as follows. MEMBERSHIP INFORMATION

More information

The DuPont Country Club 2018 Membership Application

The DuPont Country Club 2018 Membership Application APPLICANT NO. 1 The DuPont Country Club 2018 Membership Application For questions, call the Membership Office at (302) 421-1722. PRICES ARE SUBJECT TO CHANGE WITHOUT NOTICE. APPLICANT INFORMATION OFFICE

More information

An Exclusive Recreational Membership

An Exclusive Recreational Membership An Exclusive Recreational Membership LOCATION: 20 Elm Street (Route 62) North Reading, MA 01864 GENERAL OFFICES: Mail all correspondence to 149 S. Main Street Middleton, MA 01949 978-646-1111 Option 2,

More information

Corporate/Business Application for Membership

Corporate/Business Application for Membership Corporate/Business Application for Membership I hereby apply for Membership to The Summit Club and the resultant rights and privileges therein. I prefer my name be placed on the Membership Roster as follows:

More information

Walter F. Ehrnfelt Recreation Center Royalton Road, Strongsville, Ohio

Walter F. Ehrnfelt Recreation Center Royalton Road, Strongsville, Ohio Annual Membership Packages for the Walter F. Ehrnfelt Recreation Center 18100 Royalton Road, Strongsville, Ohio 44136 440.580.3260 www.strongsville.org Fees effective as of October 1, 2014 You now have

More information

Membership Application

Membership Application Membership Application Founder Active Associate Racquet Riding Boarding Member Riding Member (no horse) Lesson Program Name of Applicant: Date: Home Address: City: State: Zip: Billing Address (if different

More information

BROOKSVILLE GOLF & COUNTRY CLUB APPLICATION FOR MEMBERSHIP

BROOKSVILLE GOLF & COUNTRY CLUB APPLICATION FOR MEMBERSHIP BROOKSVILLE GOLF & COUNTRY CLUB APPLICATION FOR MEMBERSHIP Welcome to Brooksville Golf & Country Club (BGCC). Please complete the following application and member information form as thoroughly as possible.

More information

In addition to outstanding facilities, membership in the Club offers a number of attractive benefits, including:

In addition to outstanding facilities, membership in the Club offers a number of attractive benefits, including: T H E T U C K E R ' S P O I N T G O L F, B E A C H & T E N N I S C L U B M E M B E R S H I P P L A N M E M B E R S H I P O P P O R T U N I T Y M E M B E R S H I P P L A N O V E R V I E W This Membership

More information

2019 Membership Packet

2019 Membership Packet 2019 Membership Packet Clinton Country Club 41 Fairway View Drive, Mill Hall, PA 17751 page 1 Membership Options Full Golf Membership This membership entitles the member (adult, over 18 years old) to:

More information

Type of Membership. Member Name. Home Address. Phone_( ) Date of Birth / / Fax _( ) Social Security No. - - Company Name. Address. Phone_( ) Position

Type of Membership. Member Name. Home Address. Phone_( ) Date of Birth / / Fax _( ) Social Security No. - - Company Name. Address. Phone_( ) Position Membership Application Type of Membership Member Name Home Address Phone_( ) Date of Birth / / Fax _( ) Social Security No. - - Business Address: Company Name Address Phone_( ) Position Fax _( ) E-Mail

More information

M EMBERSHIP A PPLICATION

M EMBERSHIP A PPLICATION M EMBERSHIP A PPLICATION P ERSONAL I NFORMATION Name (Please Print):! Mr.! Mrs.! Ms.! Dr.! Other Home Address: Home Phone: Primary Email: Out-of-Town Address: Cell Phone: Date of Birth: Applicable Dates:

More information

BUSINESSMAX MEMBERSHIP APPLICATION

BUSINESSMAX MEMBERSHIP APPLICATION One Leo Fraser Dr., Northfield, NJ 08225 ottingergolf.com Atlantic City CC: 609-236-4400 Ballamor GC: 609-601-6220 Scotland Run GC: 856-863-3737 BUSINESSMAX MEMBERSHIP APPLICATION Company Name: Business

More information

T H E H E A LT H CLU B M E M B E R S H I P

T H E H E A LT H CLU B M E M B E R S H I P T H E H E A LT H CLU B M E M B E R S H I P MEMBERSHIP TYPE ANNUAL RATE 1 year single membership 550 1 year couple membership 1000 1 year family membership 2 adults + 2 children 1250 Golden Years (60 years

More information

Cool Before and Afterschool Program Randall STEM Academy

Cool Before and Afterschool Program Randall STEM Academy Cool Before and Program Randall STEM Academy Payment Plan Agreement 2018-2019 School Year A payment plan is available to parents/guardians wishing to register their child(ren) for the Before/ Program.

More information

Pool/Tennis Membership Family Pool/Tennis Only ($600) Single Pool/Tennis Only ($300) Range Plan, Bag Storage, and Trail Fee

Pool/Tennis Membership Family Pool/Tennis Only ($600) Single Pool/Tennis Only ($300) Range Plan, Bag Storage, and Trail Fee Full Access Membership - (Includes Golf, Pool and Tennis) Family ($2100/yr or $183.34/mo for 12 mo.) Single ($1800/yr or $158.34/mo for 12 mo.) Active Duty/Retired Military Family ($1900/yr or $166.67/mo

More information

R Club Membership Application

R Club Membership Application 2017-2018 R Club Membership Application NEW RENEWAL Last Name: First Name: ID Card LCC # 6-Digit Employee ID # Employer: Department: Street Address: City/Town: State: Zip: Telephone Number: Robert B. Goergen

More information

RIVERSIDE ACADEMY TUITION & FEE SCHEDULE Tuition Rates

RIVERSIDE ACADEMY TUITION & FEE SCHEDULE Tuition Rates RIVERSIDE ACADEMY 2017-2018 TUITION & FEE SCHEDULE Tuition Rates FAMILY TUITION DISCOUNTS (Deducted from total) Children Discount High School (9 th -12 th ) $6,248.00 2 13% Middle School (6 th -8 th )

More information

Country Club of Culpeper Application for Membership PERSONAL

Country Club of Culpeper Application for Membership PERSONAL Application for Membership PERSONAL Name Mr. Mrs. Ms. Street Address City State ZipCode Telephone Home: Work: Email: Date of Birth Social Security No. Spouse s Name Mr. Mrs. Ms. Date of Birth Social Security

More information

N A V E S I N K C O U N T R Y C L U B

N A V E S I N K C O U N T R Y C L U B N A V E S I N K C O U N T R Y C L U B M I D D L E T O W N, N E W J E R S E Y B U I L D I N G R E N O V A T I O N P R O G R A M ARTISTIC CONCEPTUAL RENDERING OF PROPOSED MEMBERS GRILLE M A S T E R P L A

More information

Upgrade My Credit Client Agreement

Upgrade My Credit Client Agreement Upgrade My Credit Client Agreement 901 W. Bardin Rd. Suite 306 Arlington, Texas 76017 817-886-0302 off. 817-887-0816 fax www.upgrademycredit.com APPLICANT INFORMATION Mr. Mrs. Ms. PLEASE PRINT CLEARLY

More information

TERRYTOWN COUNTRY CLUB

TERRYTOWN COUNTRY CLUB P.O. BOX 1285 1785 CAROL SUE AVE GRETNA, LA 70054 TERRYTOWN, LA 70056 terrytowncountryclub@gmail.com 504-392-7191 2018 RENEWAL LETTER & DUES NOTIFICATION Dear TCC Member(s): It is that time of the year

More information

North Carolina Application for Dental Insurance

North Carolina Application for Dental Insurance Section A. Dental Coverage Options: 1. Select who the coverage is for: Primary Applicant Only Primary Applicant and Dependent(s) Child(ren) Only 2. Select what coverage applicant(s) is/are applying for:

More information

MEMBERSHIP AGREEMENT

MEMBERSHIP AGREEMENT MEMBERSHIP AGREEMENT Applicant understands and agrees that the General Terms and Conditions of Membership are a part of this agreement. Enrollment Date: Member Name: Initiation Fees: Club Name: Membership

More information

RAS AL HAMRA RECREATION CENTRE APPLICATION FOR ORDINARY MEMBERSHIP

RAS AL HAMRA RECREATION CENTRE APPLICATION FOR ORDINARY MEMBERSHIP PERSONAL DETAILS: RAS AL HAMRA RECREATION CENTRE APPLICATION FOR ORDINARY MEMBERSHIP 1. RAHRC 2.RAHRC + Golf Club 3. Golf Club Only First Names Family Name Mr/Mrs/Miss Job Title: Company No: Work Schedule:

More information

Application for Membership

Application for Membership Application for Membership The undersigned hereby applies for membership in THE HOUSTONIAN CLUB (the Club ), owned and operated by Houstonian Campus, LLC ( Owner ). Prior to acceptance for membership,

More information

FLYERS AFTER SCHOOL PROGRAM APPLICATION FOR CHILD. Childs Information. Date of Application: Child s Name (first & last name)

FLYERS AFTER SCHOOL PROGRAM APPLICATION FOR CHILD. Childs Information. Date of Application: Child s Name (first & last name) FLYERS AFTER SCHOOL PROGRAM 2014-2015 APPLICATION FOR CHILD *All information must be complete in order to enroll Childs Information Child s Name (first & last name) Name of School and Grade Date of Birth

More information

WINCHESTER HOMEOWNERS ASSOCIATION, INC. Special Outside Pool and Tennis Membership Request

WINCHESTER HOMEOWNERS ASSOCIATION, INC. Special Outside Pool and Tennis Membership Request -2017- WINCHESTER HOMEOWNERS ASSOCIATION, INC. Special Outside Pool and Tennis Membership Request Please complete the attached application form and return with payment to: Winchester HOA, Inc. (NRM) C/O

More information

Membership Options /$95 Enrollment Fee (Check One)

Membership Options /$95 Enrollment Fee (Check One) Membership Options /$95 Enrollment Fee (Check One) 12 Month Contract 1 Person 2 People 3+ People Single Membership Couple Membership Family Membership 4+Open Gym $48 (4 Sessions) $80 (8 Sessions) $110

More information

THE PEOPLES BANK OF MULLENS MAKING CHANGES HAPPEN

THE PEOPLES BANK OF MULLENS MAKING CHANGES HAPPEN THE PEOPLES BANK OF MULLENS MAKING CHANGES HAPPEN TWO FULL SERVICE LOCATIONS MULLENS & PINEVILLE MULLENS PO BOX 817 200 FIRST STREET MULLENS, WV 25882 PHONE: (304) 294-7115 FAX: (304) 294-7147 PINEVILLE

More information

Virginia Application for Dental Insurance

Virginia Application for Dental Insurance Section A. Dental Coverage Options: 1. Select who the coverage is for: Primary Applicant Only Primary Applicant and Dependent(s) Child(ren) Only 2. Select what coverage applicant(s) is/are applying for:

More information

MEMBERSHIP. Summer Membership. Summer Membership

MEMBERSHIP. Summer Membership. Summer Membership SUMMER 2 0 1 8 MEMBERSHIP Summer Membership Includes: Croquet Golf at Moorings Tennis Fitness Center Spa Pool Social Events Summer Camps Dining and more! Summer Membership May 11 - October 26 $1,500 (plus

More information

LEASE APPLICATION PROCESS

LEASE APPLICATION PROCESS LEASE APPLICATION PROCESS There is a non-refundable fee of $75 per applicant/ guarantor for the credit verification process. ALL documents concerning your application can be faxed to 212.251.9610 or emailed

More information

New Bern Golf & Country Club, Inc.

New Bern Golf & Country Club, Inc. FINANCIAL STATEMENTS May 31, 2016 and 2015 Table of Contents May 31, 2016 and 2015 TAB: REPORT Accountant s Compilation Report 1 TAB: FINANCIAL STATEMENTS Statement of Financial Position 2 Statement of

More information

MIAMI ROWING & WATERSPORTS CENTER, INC Membership (6 pages) Application For:

MIAMI ROWING & WATERSPORTS CENTER, INC Membership (6 pages) Application For: MIAMI ROWING & WATERSPORTS CENTER, INC. 2017 Membership (6 pages) Application For: FAMILY MEMBERSHIP: Initiation Fee: $500.00 Monthly Dues: $110.00 Annual Due $1320.00 Equipment Fund Monthly Due $15.00

More information

Mansions West Resale Application Check List

Mansions West Resale Application Check List Mansions West Resale Application Check List Date of Application: Closing Date: Property Agent Phone Number: Check List Needed for Resale Master Association Check - $200.00 Made payable to "Evergrene Master

More information

TREASURER Revised June Receive, deposit, disburse, record, and report all financial actions resulting

TREASURER Revised June Receive, deposit, disburse, record, and report all financial actions resulting TREASURER Revised June 2015 PURPOSE Receive, deposit, disburse, record, and report all financial actions resulting from NCSSSA business activities. Act as the NCSSSA Executive Committee s financial technical

More information

New Member Application

New Member Application New Member Application Thank you for your application for membership in the (ESC) New member applications will be accepted beginning April 1, 2016 and continue until the Board of Directors determines that

More information

ATTENTION APPLICANT. In accordance with the State of Tennessee Non-Smoker Protection Act, smoking is prohibited in all RPI facilities.

ATTENTION APPLICANT. In accordance with the State of Tennessee Non-Smoker Protection Act, smoking is prohibited in all RPI facilities. ATTENTION APPLICANT APPLICANTS CONSIDERED FOR HIRE MAY BE SUBJECTED TO A BACKGROUND CHECK. ROGERS PETROLEUM, INC IS A TENNESSEE DRUG FREE WORKPLACE. ALL APPLICANTS CONSIDERED FOR HIRE WILL BE SUBJECT TO

More information

APPLICATION FORM CALIFORNIA STATE UNIVERSITY, FULLERTON

APPLICATION FORM CALIFORNIA STATE UNIVERSITY, FULLERTON APPLICATION FORM CALIFORNIA STATE UNIVERSITY, FULLERTON PROGRAM SELECTION Study Abroad: Spring Fall Year: Are you applying for one or two study abroad semesters? STUDENT INFORMATION Applicant Information

More information

DANVILLE FAMILY YMCA SCHOLARSHIP APPLICATION

DANVILLE FAMILY YMCA SCHOLARSHIP APPLICATION DANVILLE FAMILY YMCA SCHOLARSHIP APPLICATION 1 This is an application for financial aid toward YMCA membership and program fees. Please note that applying for financial assistance does not mean you will

More information

DISCLOSURE AND ACKNOWLEDGMENT [IMPORTANT -- PLEASE READ CAREFULLY BEFORE SIGNING ACKNOWLEDGMENT] DISCLOSURE REGARDING BACKGROUND INVESTIGATION

DISCLOSURE AND ACKNOWLEDGMENT [IMPORTANT -- PLEASE READ CAREFULLY BEFORE SIGNING ACKNOWLEDGMENT] DISCLOSURE REGARDING BACKGROUND INVESTIGATION DISCLOSURE AND ACKNOWLEDGMENT [IMPORTANT -- PLEASE READ CAREFULLY BEFORE SIGNING ACKNOWLEDGMENT] DISCLOSURE REGARDING BACKGROUND INVESTIGATION The Cannabis Control Commission ( the Commission ) may obtain

More information

2018 EMPLOYMENT APPLICATION

2018 EMPLOYMENT APPLICATION Date Name 2018 EMPLOYMENT APPLICATION 718 Professional Drive ~ Shreveport, LA 71105 318-779-1451 ~ rocksolidathletic@gmail.com Gender Social Security # Date of birth Current Address Street City State Zip

More information

GOLDEN BEAR GOLF PASSPORT By Jack Nicklaus Academy of Golf APPLICATION FORM

GOLDEN BEAR GOLF PASSPORT By Jack Nicklaus Academy of Golf APPLICATION FORM GOLDEN BEAR GOLF PASSPORT By Jack Nicklaus Academy of Golf APPLICATION FORM Be one of the first in your foursome to take advantage of this outstanding opportunity to become a better player, shoot lower

More information

ORDINARY / TERM MEMBERSHIP APPLICATION FORM

ORDINARY / TERM MEMBERSHIP APPLICATION FORM ORDINARY / TERM MEMBERSHIP APPLICATION FORM TYPE OF APPLICATION (Please tick) Ordinary Membership Term Membership 1-year 2-year APPLICATION PROCEDURES 1. All applicants are reminded to read the application

More information

MEMBERSHIP CONTRACT GENERAL APPLICATION INFORMATION MONTHLY DUES (PAID IN ADVANCE) $ 15.OO 1. MEMBERSHIP TYPE(S) AND DUES TOTAL DUE TODAY $ START DATE

MEMBERSHIP CONTRACT GENERAL APPLICATION INFORMATION MONTHLY DUES (PAID IN ADVANCE) $ 15.OO 1. MEMBERSHIP TYPE(S) AND DUES TOTAL DUE TODAY $ START DATE GENERAL APPLICATION INFORMATION MEMBERSHIP CONTRACT NAME EMAIL SOCIAL SECURITY NUMBER EMPLOYER OF BIRTH EMERGENCY CONTACT NAME SPOUSE S NAME (IF APPLICABLE) EMERGENCY CONTACT PHONE ADDRESS NAMES ON CONTRACT

More information

Mansions East Resale Application Check List

Mansions East Resale Application Check List Mansions East Resale Application Check List Date of Application: Closing Date: Property Agent Name: Phone Number: Check List Needed for Resale Master Association Check - $200.00 Made payable to "Evergrene

More information

MEMBERSHIP APPLICATION FORM

MEMBERSHIP APPLICATION FORM Form Ver # : 270115 Page 1 of 6 MEMBERSHIP APPLICATION FORM Note : Please completed. strike-off where applicable. All fields under Section A and Section B are mandatory to be Tell us about yourself. SECTION

More information

APPLICATION FORM CALIFORNIA STATE UNIVERSITY, FULLERTON

APPLICATION FORM CALIFORNIA STATE UNIVERSITY, FULLERTON APPLICATION FORM CALIFORNIA STATE UNIVERSITY, FULLERTON PROGRAM SELECTION Study Abroad: Spring Fall Year: Are you applying for one or two study abroad semesters? STUDENT INFORMATION Applicant Information

More information

FAIRWAYS & BLUE WATER Boracay, Aklan

FAIRWAYS & BLUE WATER Boracay, Aklan FAIRWAYS & BLUE WATER Boracay, Aklan Land Area: 90 HECTARES No. of Holes: 18 HOLES Category: PROPRIETARY Year Established: DECEMBER 1997 Developer: FIL-ESTATE GROUP OF COMPANIES Designer: GRAHAM MARSH

More information

MEMBERSHIP AGREEMENT AND APPLICATION

MEMBERSHIP AGREEMENT AND APPLICATION MEMBERSHIP AGREEMENT AND APPLICATION d: August 1, 2016 MEMBERSHIP AGREEMENT Applicant s Name: Member Number: Categories of Membership Founder Membership (Closed as of 12/12/12) Sports and Social Membership

More information

Welcome Home! Valid state issued photo identification and a social security card.

Welcome Home! Valid state issued photo identification and a social security card. Welcome Home! In order for us to process your application in the quickest manner possible, we will need the following items when you submit your application. Two most recent pay stubs. Income must be equal

More information

Credit Application Commercial VISA

Credit Application Commercial VISA Credit Application Commercial VISA Credit Limit Requested: _ Applicant Applicant s Legal Name Under Which Tax Returns Are Filed (25 characters maximum, including spaces): Account Setup: (Please check one).

More information

Subscription for a Share and Membership Application for the. The Winston Golf Club Ltd. (the Club ) Applicant Information

Subscription for a Share and Membership Application for the. The Winston Golf Club Ltd. (the Club ) Applicant Information Subscription for a Share and Membership Application for the The Winston Golf Club Ltd. (the Club ) Applicant Information Title (Mr., Mrs. Ms. Dr.) Date of Birth Last Name, First Name, and Middle Initial

More information

2018 Chambersburg Aquatic Center Rates Approved by Town Council on Monday, 10/16/17

2018 Chambersburg Aquatic Center Rates Approved by Town Council on Monday, 10/16/17 2018 Chambersburg Aquatic Center Rates Approved by Town Council on Monday, 10/16/17 Normal Pool Hours for Daily Admittance: 1-8 PM Category Daily Rates Borough Discounted Rates Adult (Ages 18+) $9 $5 Youth

More information

WACK-WACK GOLF & COUNTRY CLUB Shaw Boulevard, Mandaluyong City

WACK-WACK GOLF & COUNTRY CLUB Shaw Boulevard, Mandaluyong City WACK-WACK GOLF & COUNTRY CLUB Shaw Boulevard, Mandaluyong City Land Area: 115 HECTARES No. of Holes: 36 HOLES Category: PROPRIETARY Year Established: 1930 Developer: FORMOST GOLF/ William Shaw Designer:

More information

Word of Life Florida Retreat Center Rental and Use Packet as of July 28, 2016 flconference.wol.org

Word of Life Florida Retreat Center Rental and Use Packet as of July 28, 2016 flconference.wol.org Word of Life Florida Retreat Center Rental and Use Packet as of July 28, 2016 flconference.wol.org CONDITIONS FOR USE I. Groups using Word of Life Florida must provide the following: a. Linens, pillows,

More information

ELIZABETHTON MUNICIPAL GOLF COURSE A COMPONENT UNIT OF THE CITY OF ELIZABETHTON, TENNESSEE INDEPENDENT AUDITORS' REPORT

ELIZABETHTON MUNICIPAL GOLF COURSE A COMPONENT UNIT OF THE CITY OF ELIZABETHTON, TENNESSEE INDEPENDENT AUDITORS' REPORT FINANCIAL STATEMENTS WITH INDEPENDENT AUDITORS' REPORT For the Fiscal Year Ended TABLE OF CONTENTS SECTION I - FINANCIAL SECTION Page Number Independent Auditors' Report 1 Management s Discussion and Analysis

More information

Seasonal Court Information

Seasonal Court Information Summer 2018 Season Court Renewals Dates: May 14 th - Aug 31 st Season Courts are for Members Only 2017 Summer Court holders have until April 16 th in order to get priority renewal on last year s court

More information

To Apply for Residency:

To Apply for Residency: To Apply for Residency: Complete Fillable Form on Website EMAIL TO: laurelhills@flynnmanagement.com Or fax to: 407 292 3302 MAIL OR HAND DELIVER TO: Laurel Hills Villas Leasing Office 7010 Balboa Drive

More information

Recreational Dance & Acrobatic Class Policies

Recreational Dance & Acrobatic Class Policies 2016-2017 Recreational Dance & Acrobatic Class Policies Welcome to EXPRESS Dance & Acrobatics. Our mission is to teach the fundamentals of dance and acrobatics, with an emphasis on commitment, education,

More information

Membership Agreement

Membership Agreement Membership Agreement Name Date Street Address City State Zip Code Home phone Cell Phone Email ---------------------------------------------------------------------------------------------------------------------

More information

Welcome! Warren Parkway Suite 306 Frisco, TX PlastiksForKids.com. Please remember to bring: New Patient Paperwork

Welcome! Warren Parkway Suite 306 Frisco, TX PlastiksForKids.com. Please remember to bring: New Patient Paperwork Welcome! Thank you for choosing Dr. Christine Stiles to care for your child s plastic surgery needs. All appointments are on Monday afternoons. Dr. Stiles operates at the Pediatric Surgery Center. Plastiks

More information

APPLICATION FOR VEHICLE LIABILITY INSURANCE

APPLICATION FOR VEHICLE LIABILITY INSURANCE FOR INTERNAL USE ONLY Case: Start Date: APPLICATION FOR VEHICLE LIABILITY INSURANCE Texas Volunteer Fire Department Motor Vehicle Self Insurance Program Name of Fire Department: Physical Address: (Street

More information

HELPING TEENS THRIVE. Youth & Government CENTRAL YMCA

HELPING TEENS THRIVE. Youth & Government CENTRAL YMCA HELPING TEENS THRIVE Youth & Government CENTRAL YMCA LEARN MORE WHAT IS YOUTH & GOVERNMENT? Learn first-hand how our state government works not by watching, but by doing! Each September for six months,

More information

Hoops for Hope. Team Registra on Packet. Team Division (check one): 10th 12th grade (as of me of tournament)

Hoops for Hope. Team Registra on Packet. Team Division (check one): 10th 12th grade (as of me of tournament) December 8, 2013 3-on-3 Hoops for Hope Basketball Tournament Team Registra on Packet Team Team Division (check one): 8th 9th grade (as of me of tournament) 10th 12th grade (as of me of tournament) Athlete

More information

RENTAL APPLICATION. Full Name Cell Phone ( Address: Other Phone ( Current Local Address: (STREET) (CITY) (STATE) (ZIP) Owner/Agent Phone (

RENTAL APPLICATION. Full Name Cell Phone (  Address: Other Phone ( Current Local Address: (STREET) (CITY) (STATE) (ZIP) Owner/Agent Phone ( RENTAL APPLICATION 1. Please submit your application with the $40 non-refundable application fee to APT Lease-up & Marketing LLC, payable by credit card, cash or check. 2. Apartments are limited and will

More information

Studio Policies

Studio Policies 2018-19 Studio Policies Welcome to EXPRESS Dance & Acrobatics. Our mission is to teach the fundamentals of dance and acrobatics, with an emphasis on commitment, education, safety, and fun in a healthy

More information

Vendor Booth Opportunity September 22, :00pm 4:00pm

Vendor Booth Opportunity September 22, :00pm 4:00pm Vendor Booth Opportunity September 22, 2018 12:00pm 4:00pm On behalf of, we offer your organization the opportunity to be a vendor at the 4 th Annual Riverwalk Fall Festival. Guests will enjoy a variety

More information

Before and After School Care

Before and After School Care Before and After School Care BLAIR FAMILY YMCA 2016-2017 School Year Registration Forms To put Christian principles into practice through programs that build a health spirit, mind and body for all. -YMCA

More information

ORDINARY / TERM MEMBERSHIP APPLICATION FORM

ORDINARY / TERM MEMBERSHIP APPLICATION FORM ORDINARY / TERM MEMBERSHIP APPLICATION FORM Serangoon Gardens Country Club 22 Kensington Park Road Singapore 557271 Tel: 6286 8888 Fax: 6398 5336 Email: membership@sgcc.com.sg Website: www.sgcc.com.sg

More information

THE CLUB AT BRASADA RANCH O C T O B E R

THE CLUB AT BRASADA RANCH O C T O B E R THE CLUB AT BRASADA RANCH AMENDED AND R ESTATED MEMBERSHIP PLAN O C T O B E R 2 0 1 5 T H E C L U B A T B R A S A D A R ANCH T H E C L U B A T B R A S A D A R A N C H M E M B E R S H I P P L A N O V E

More information

additional $785 additional $390 additional $195

additional $785 additional $390 additional $195 ADDITIONAL PRIVILEGES Also available to our Members are facility rentals, access to most JCCs nationwide, member-only publications, priority registration, membership discount on programs and so much more!

More information

New Employer Checklist

New Employer Checklist THE ALLIANCE HEALTH PLAN New Employer Checklist OPEN ENROLLMENT 2017 Open Enrollment is November 14 December 9 This checklist is for employers who wish to enroll their employees in The Alliance Health

More information

Here is a checklist of a few things that are commonly overlooked and are mandatory in processing your application.

Here is a checklist of a few things that are commonly overlooked and are mandatory in processing your application. Application Instructions for Cigna Dental Application 1. Please print all pages of the application. 2. Complete all questions and sections of the applicaton. Please write legibly. 3. Complete the fax cover

More information

NE PA Community Federal Credit Union East Stroudsburg South Student Branch New Account Information

NE PA Community Federal Credit Union East Stroudsburg South Student Branch New Account Information NE PA Community Federal Credit Union East Stroudsburg South Student Branch New Account Information Parental Permission Form: A Parental Permission Form must be signed by a parent/legal guardian to open

More information

Run of Our Range Full Membership Plan This Membership Plan Requires a 12 Month Contract Paid Monthly or Prepaid in Full

Run of Our Range Full Membership Plan This Membership Plan Requires a 12 Month Contract Paid Monthly or Prepaid in Full Run of Our Range Full Membership Plan This Membership Plan Requires a 12 Month Contract Paid Monthly or Prepaid in Full Full Membership Contract Requirements This membership plan requires a minimum twelve

More information

ADULT COACHING APPLICATION

ADULT COACHING APPLICATION - MIAMI ROWING & WATERSPORTS CENTER, Inc. ADULT COACHING APPLICATION -MEMBER HRLY Private lessons where non-members and members can come and row in a one-on-one session tailored to your skill level and

More information

Thank you for your interest in the Apartment rental. APPLICATION REQUIREMENTS for PROSPECTIVE TENANTS and GUARANTORS:

Thank you for your interest in the Apartment rental. APPLICATION REQUIREMENTS for PROSPECTIVE TENANTS and GUARANTORS: Thank you for your interest in the Apartment rental APPLICATION REQUIREMENTS for PROSPECTIVE TENANTS and GUARANTORS: Completed Rental Application for each adult Occupant and completed Guarantor Application

More information

CREST COMMUNITY ASSOCIATION RENTAL AGREEMENT - (Ver. CCA-JG ) 113 North Park Drive, El Cajon, CA (619)

CREST COMMUNITY ASSOCIATION RENTAL AGREEMENT - (Ver. CCA-JG ) 113 North Park Drive, El Cajon, CA (619) CREST COMMUNITY ASSOCIATION RENTAL AGREEMENT - (Ver. CCA-JG-12-21-17) 113 North Park Drive, El Cajon, CA 92021 (619) 442-7378 www.thecrestsun.com Renter/User Name: Mailing Address City Zip Code Phone Email

More information

GYM MEMBERSHIP APPLICATION

GYM MEMBERSHIP APPLICATION GYM MEMBERSHIP APPLICATION Member Information: Name: Date of Birth: Mobile Phone: Email Address: Postal Address: MEMBERSHIP TYPE: Full Membership: 12 MONTHS $650 6 MONTH $350 Direct Debit Direct Debit

More information

UH Cougar Cub Summer Camp 2017 Registration Form (Please complete one form per camper)

UH Cougar Cub Summer Camp 2017 Registration Form (Please complete one form per camper) UH Cougar Cub Summer Camp 2017 Registration Form (Please complete one form per camper) CAMPER INFORMATION Child s Name: Child s age 6/1/17: DOB Grade by 9/1/17 Gender: (check) M F Street Address City State

More information

Adult / Age Group Program Information

Adult / Age Group Program Information Adult / Age Group Program Information Welcome to the Sheldon Triathlon Club! The Sheldon Triathlon Club is led by Head Coach, Mr Chris Lang and Club Manager, Mr Jarrod Pleass, with oversight from Sheldon

More information

The agent only pays for the leads received and is able to access them in the EFES Lead Center.

The agent only pays for the leads received and is able to access them in the EFES Lead Center. EFES assumes the risk of return rates and provides the agent with a set direct mail lead price of $30 (standard card) per lead. In return we require that the agent pay a deposit equal to three weeks of

More information